Russell Wieston Brethauer
PSYD. | Clinical Psychologist | 44+ years Exp
700 Pilgrim Pkwy, Suite 201, Elm Grove
Wisconsin, 53122-2063
262-785-5557 262-785-5586
Maps & DirectionsRussell Wieston Brethauer is a Elm Grove, Wisconsin based psychologist with 44 years of experience in Clinical Psychology. He completed his graduation in 1981. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Russell Wieston Brethauer is 983 for Clinical Psychology in Wisconsin. His current practice location is 700 Pilgrim Pkwy, Suite 201, Elm Grove. Patients can reach him at 262-785-5557 or can fax him at 262-785-5586. Russell Wieston Brethauer is PSYD. in Clinical Psychology and his NPI number (Unique professional ID assigned by NPPES) is 1023062528.
Russell Wieston Brethauer is a mental health professional with highly specialized training in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). His main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that he can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Profile:
Russell Wieston Brethauer speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Russell Wieston Brethauer |
| Specialization: | Clinical Psychology |
| Gender: | Male |
| Credentials: | PSYD. |
| Experience: | 44+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1981 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 700 Pilgrim Pkwy, Suite 201, Elm Grove,
Wisconsin, 53122-2063 |
| Phone: | 262-785-5557 |
| Fax: | 262-785-5586 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 8426159435 |
| Enrollment ID: | I20070720000459 |
| NPI Number: | 1023062528 |
| NPI Enumeration Date: | 19 May, 2006 |
| NPI Last Update On: | 18 Oct, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Russell Wieston Brethauer are as mentioned below.
| License Number | Specialization | State | Status | |
| 983 | Clinical Psychology | Wisconsin | Primary | |
| 185 | Marriage & Family Therapist | Wisconsin | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Russell Wieston Brethauer such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 39027200 | Medicaid | Wisconsin | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Russell Wieston Brethauer
700 Pilgrim Pkwy, Suite 201
Elm Grove, Wisconsin |
| Zip: | 53122-2063 |
| Phone Number: | 262-785-5557 |
| Fax Number: | 262-785-5586 |
Patients can reach Russell Wieston Brethauer at
700 Pilgrim Pkwy, Suite 201, Elm Grove, Wisconsin or can
call to book an appointment on 262-785-5557.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.